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*New @JAMA_current* adding to hospitalized #covid19 outcomes literature
1/
-Among 5700 patients in NYC
2634 met study endpoint of "discharged" or "died"
Of those:
-14.2% were treated in the ICU
-21% died
-For the 12% that were put on ventilators, 88% died https://jamanetwork.com/journals/jama/fullarticle/2765184
1/
-Among 5700 patients in NYC
2634 met study endpoint of "discharged" or "died"
Of those:
-14.2% were treated in the ICU
-21% died
-For the 12% that were put on ventilators, 88% died https://jamanetwork.com/journals/jama/fullarticle/2765184
2/
60% of the patients were male
Most common comorbidities were hypertension (57%), obesity (42%) and diabetes (34%)
At triage:
-Only 30% had a fever
-Only 27.8% required oxygen at that time
-Only 17% were noted as tachypnic
-43% had tachycardia (HR>100)
60% of the patients were male
Most common comorbidities were hypertension (57%), obesity (42%) and diabetes (34%)
At triage:
-Only 30% had a fever
-Only 27.8% required oxygen at that time
-Only 17% were noted as tachypnic
-43% had tachycardia (HR>100)
3/ At admission, labs that were notably abnormal:
-troponin
-CRP
-ESR
-LDH
Clinically, this all fits w/ what I have been seeing in Boston over the past few weeks as well in the emergency room.
-troponin
-CRP
-ESR
-LDH
Clinically, this all fits w/ what I have been seeing in Boston over the past few weeks as well in the emergency room.
4/ People's vitals are not always abnormal at presentation, but the history is what usually tips us off.
A mentor at @BrighamWomens once said that the diagnosis is in the history. Still often true here.
At our hospital, the labs in tweet 3 are part of a "covid19" order set.
A mentor at @BrighamWomens once said that the diagnosis is in the history. Still often true here.
At our hospital, the labs in tweet 3 are part of a "covid19" order set.
5/ And in many of the patients that I saw, these came back abnormal as well, consistent w/ this study.
Looking at death by age/gender, older men doing the worst
The study also re-affirms the very poor outcomes for those who eventually do get placed on a ventilator
Looking at death by age/gender, older men doing the worst
The study also re-affirms the very poor outcomes for those who eventually do get placed on a ventilator
6/ Keep in mind that these were patients who actually met an end-point of discharged/died
There are still a number who are in the hospital out of the original 5700
A longer term study may change some of these numbers (for instance, may find vent mortality% is ultimately lower)
There are still a number who are in the hospital out of the original 5700
A longer term study may change some of these numbers (for instance, may find vent mortality% is ultimately lower)
